R40 maternal and child health research program mchr

Case investigations and death scene examinations may lead to a different determination of cause of death depending on who conducts these investigations and the standards utilized. Deaths mistakenly attributed to SIDS may lead to further infant deaths. For example, if no cause of death is identified, families may not receive the education and resources necessary to prevent further deaths due to unsafe sleeping practices or conditions.

In order to clearly assess and document the number of infant deaths due to preventable causes, these deaths must be recorded into separate categories. For instance, in the State of Michigan, the total number of infant deaths is broken down by cause.

However, no categories exist to clearly represent the number of infant deaths due to unsafe sleeping practices. Much debate exists regarding how to categorize these deaths when investigation reveals the presence of risk factors such as unsafe sleep position, location, bedding, or bed sharing; is the death due to SIDS, accidental suffocation, or should the manner and cause be classified as undetermined?

In some cases, these deaths may be homicides when alcohol, drugs, or gross negligence is involved. A lack of experience or time leading to an incomplete investigation may often lead to a diagnosis of SIDS. The ultimate goal is prevention of these deaths. As a pediatrician who has worked in a busy university pediatric practice and newborn nurseries, I am constantly educating families about safe sleep. Although the recommendation is often to avoid bed sharing after consuming alcohol or prescription drugs which may decrease arousal or when extremely fatigued, selectively applying a public health warning is problematic as previously stated by the Michigan FIMR Network.

Bed sharing is an extremely controversial topic, especially with breastfeeding mothers and their babies. Expected Number of Awards 6. CFDA Number s Cost Sharing or Matching Requirement No. Win More Federal Business Imagine a world where every report, every insight is tailored specifically to you. Personalized Markets Our market-centric platform adds context to every pursuit. Download the Full Report Today. Download Free Report. Contracting Resources.

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